Evidence map›Paper›PMID 33598811›Full record

ArticleGastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association2021

Different effects of p53 protein overexpression on the survival of gastric cancer patients according to Lauren histologic classification: a retrospective study.

Ki Wook Kim, Nayoung Kim, Yonghoon Choi, Won Seok Kim, Hyuk Yoon, Cheol Min Shin, Young Soo Park, Dong Ho Lee, Young Suk Park, Sang-Hoon Ahn and 11 more

Abstract readEvaluation Study
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In one paragraph

Article in Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 26 citations in OpenAlex.

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  11. p53/Cancers · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 2 institutions in 2 countries.

Ki Wook KimDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.
Nayoung KimDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea. nakim49@snu.ac.kr.ORCID 0000-0002-9397-0406
Yonghoon ChoiDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.
Won Seok KimDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.
Hyuk YoonDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.
Cheol Min ShinDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.
Young Soo ParkDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.
Dong Ho LeeDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.
Young Suk ParkDepartment of Surgery, Seoul National University Bundang Hospital, Seongnam, South Korea.
Sang-Hoon AhnDepartment of Surgery, Seoul National University Bundang Hospital, Seongnam, South Korea.
Do Joong ParkDepartment of Surgery, Seoul National University College of Medicine, Seoul, South Korea.
Hyung-Ho KimDepartment of Surgery, Seoul National University Bundang Hospital, Seongnam, South Korea.
Hye Seung LeeDepartment of Pathology, Seoul National University College of Medicine, Seoul, South Korea.
Ji-Won KimDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.
Jin Won KimDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.
Keun-Wook LeeDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.
Won ChangDepartment of Radiology, Seoul National University Bundang Hospital, Seongnam, South Korea.
Ji Hoon ParkDepartment of Radiology, Seoul National University Bundang Hospital, Seongnam, South Korea.
Yoon Jin LeeDepartment of Radiology, Seoul National University Bundang Hospital, Seongnam, South Korea.
Kyoung Ho LeeDepartment of Radiology, Seoul National University Bundang Hospital, Seongnam, South Korea.
Young Hoon KimDepartment of Radiology, Seoul National University Bundang Hospital, Seongnam, South Korea.
Seoul National University Bundang Hospital · KRSeoul National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInactivation of TP53, a tumor suppressor gene, is associated with the development of several malignancies, including gastric cancer (GC). The present study aimed to evaluate the correlation between the overexpression of p53 and survival in different Lauren-type GCs.

methodsFrom May 2003 to December 2019, 3608 GC patients treated endoscopically or surgically at the Seoul National University Bundang Hospital were enrolled for the study. Immunohistochemical staining for p53 was performed on all endoscopic and surgical gastric specimens. Clinicopathologic characteristics with Lauren classification, survival rate, and cancer recurrence were analyzed according to p53 overexpression.

resultsAmong 3608 GC patients, p53 overexpression was seen in 1334 patients (37%). p53 overexpression was associated with lower depth of invasion (P = 0.026) and Early gastric cancer (P = 0.044) in intestinal-type GC, and with advanced TNM stage (P < 0.001) and Advanced gastric cancer (P < 0.001) in diffuse-type GC. The overall survival (OS) and GC-specific survival (GCSS) were significantly lower in p53 overexpression positive patients. This significance was more pronounced and enhanced in the diffuse-type GC and was absent in the intestinal-type GC. In multivariate analyses, p53 overexpression was associated with poor OS in both subtypes of GC and cancer recurrence in diffuse-type GC. (OS in intestinal-type: adjusted hazard ratio [aHR] = 1.423, P = 0.022; OS in diffuse-type: aHR = 1.401 P = 0.035; cancer recurrence in diffuse-type: aHR = 1.502, P = 0.039).

conclusionp53 overexpression was associated with poor prognosis in GC, especially in diffuse-type. In addition, p53 overexpression was associated with early stage disease in intestinal-type GC and with advanced stage disease in diffuse-type GC.

Indexed as

AdultAgedAged, 80 and overFemaleGastrectomyGene ExpressionHumansMaleMiddle AgedNeoplasm StagingPrognosisRetrospective StudiesStomach NeoplasmsSurvival RateTumor Suppressor Protein p53Young AdultTP53 protein, humanTumor Suppressor Protein p53Gastric cancerLauren typep53 overexpressionRecurrenceSurvival

Identifiers

PMID33598811
OpenAlexW3131762956

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.